Improving Contraception Outreach through Human-Centered Design: A Pilot Study of the Ndingathe ("I Can") Intervention in Rural Malawi.

ABSTRACT:

Background

In Malawi, community health workers known as Health Surveillance Assistants (HSAs) can facilitate access to contraception through rural outreach. Self-injectable contraception also shows promise to facilitate contraceptive access, as women can store doses and re-inject on their own. We previously developed the Ndingathe ("I Can") intervention via human-centered design to strengthen contraception outreach by addressing HSAs' workflow challenges and enhancing self-injection (SI) counseling and support for interested clients. We piloted Ndingathe in two rural districts from June to December 2023.

Methods

To assess the feasibility, acceptability, and potential effectiveness of Ndingathe, we conducted: pre- and post-surveys with 60 HSAs; 450 surveys with clients at HSA

SUBMITTER: Vallin J 

PROVIDER: S-EPMC12459769 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature